四川省内江市企事业单位工作人员糖代谢状态的调查研究

A cross-sectional survey of the glucose metabolism status in employees of enterprises and institutions in Neijiang city

目的：了解四川省内江市20～60岁企事业单位工作人员的糖代谢状态。方法对四川省内江地区20～60岁企事业单位工作人员整体分层随机抽取9905名，行FPG检测。FPG≥5.6 mmol／L者再检测2 hPG。结果共检出血糖异常（FPG ≥6.1 mmo／L ）1296例（13.1％）；IFG 1095例（11.1％）。不同性别、年龄分层比较差异有统计学意义。随年龄增长，血糖异常情况逐渐增加，50～60岁组血糖异常率达18.5％。2 hPG检测结果显示，随FPG升高，IGT和糖尿病检出率逐渐增高。结论四川省内江市企事业单位工作人员糖尿病及糖尿病前期患病率较高，尽早发现糖尿病前期人群，有利于尽早干预，以减少糖尿病的发生。

Objective To investigate the status of glucose metabolism in staffs of enterprises and institutions in Neijiang ,Sichuan ,China. Methods 9905 participants with age 20～60 years and working in the enterprises and institutions were selected by stratified random sampling method. Fasting plasma glucose （FPG ） was tested for all the participants ,and 2 h plasma glucose （2 hPG ） after meal was measured if FPG ≥ 5.6 mmol/L. Results The total number of abnormal blood glucose （FPG ≥ 6.1 mmol/L）was 1296 （13.1% ） ,and the number of impaired fasting glucose （IFG） was 1095 cases（11.1% ）.Both of the prevalence of abnormal blood glucose and IFG were significantly different between different genders and ages. The prevalence of blood glucose abnormalities gradually increase with aging ,up to 18.5% in 50～60 years old group. With the increase of FPG levels ,the detection rates of impaired glucose tolerance （IGT）anddiabetesmellitus（DM）graduallyincreased. Conclusion Theregionprevalenceofdiabetesand pre‐diabetes was higher in Neijiang ,Sichuan. Early identification of patients with pre‐diabetes will contribute to the early prevention and treatment of diabetes.